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Recent News and Articles on the Keywords: prostatectomy + salvage + web  Related to the article below (Last Update: 8/5/2008)

Study indicates certain men benefit from salvage radiotherapy ...
Medicexchange, UK - Jul 14, 2008
... salvage radiotherapy (XRT) vs. observation in men with biochemical recurrence after radical prostatectomy (RP). They found a benefit to salvage XRT. ...
Utilization And Outcomes Of Minimally Invasive Radical Prostatectomy
Medical News Today (press release), UK - Jul 13, 2008
Variables assessed included perioperative complications, length of hospital stay, anastomotic strictures, and initiation of salvage therapies. ...
A new drug offers advances in cancer treatment
Times Online, UK - Jul 27, 2008
They also decried the failure of the NHS to make reasonable arrangements for its early diagnosis and encourage doctors to provide radical prostatectomy or ...
Fourth International Consultation On Incontinence (ICI) - Surgery ...
Medical News Today (press release), UK - Jul 26, 2008
... or after EBRT (5-11%), a high risk of UI with salvage prostatectomy after EBRT, and increased risk of UI from adjuvant EBRT after radical prostatectomy. ...
Source: Google News

Salvage Radiotherapy for Recurrent Prostate Cancer After Radical Prostatectomy -
AJ Stephenson, SF Shariat, MJ Zelefsky, MW Kattan, … - JAMA, 2004 - Am Med Assoc
... Between 1987 and 2002, 501 patients with disease recurrence after radical prostatectomy
underwent salvage radiotherapy at 1 of 5 participating academic ...

… quality of life and prostate-associated symptoms after primary and salvage cryotherapy for prostate … -
AG Anastasiadis, R Sachdev, L Salomon, MA Ghafar, … - Journal of Cancer Research and Clinical Oncology, 2003 - Springer
... Accessed through the World Wide Web: http://www ... Quality of life after salvage
cryotherapy: the ... noma patients? perspectives after prostatectomy or radiation ...

… in the Avoidance of Allogeneic Transfusion in Patients Undergoing Radical Retropubic Prostatectomy -
JH Waters, JSJ Lee, E Klein, JO'Hara, C Zippe, PS … - Anesthesia & Analgesia, 2004 - IARS
... The use of cell salvage during radical retropubic prostatectomy: does it influence ...
Similar articles found in: A&A Online ISI Web of Science PubMed. ...

Salvage Radiotherapy for Recurrent Prostate Cancer The Earlier the Better -
MS Anscher - JAMA, 2004 - Am Med Assoc
... Salvage radiotherapy after radical prostatectomy for prostate adenocarcinoma: analysis
of efficacy and prognostic factors. Urology. 2002;59:726-731. ...

Management of biochemical failure following radical prostatectomy: salvage radiotherapy?a case … -
AD Stockdale, BK Vakkalanka, A Fahmy, K Desai, ARE … - Prostate Cancer and Prostatic Diseases, 2007 - nature.com
... Full text access provided to Googlebot Access by Web Services. ... Management of biochemical
failure following radical prostatectomy: salvage radiotherapy ? a ...

Adjuvant and salvage treatment after radical prostatectomy: current practice in the UK -
LW Lee, NW Clarke, VAC Ramani, RA Cowan, JP Wylie, … - Prostate Cancer and Prostatic Diseases, 2005 - nature.com
Full text access provided to Googlebot Access by Web Services. ... Adjuvant and salvage
treatment after radical prostatectomy: current practice in the UK. ...

Postradical prostatectomy TRUS-guided anastomotic biopsy. Where do we stand today? -
T Anagnostou, K Doumas, M Remzi, B Djavan - Prostate Cancer and Prostatic Diseases, 2004 - nature.com
Full text access provided to Googlebot Access by Web Services. ... Management of biochemical
failure following radical prostatectomy: salvage radiotherapy ? ...

… treatment options for patients with high-risk prostate cancer treated with radical prostatectomy -
AS Kibel, JB Nelson - Prostate Cancer and Prostatic Diseases, 2007 - nature.com
... access provided to Googlebot Access by Web Services. ... Adjuvant and salvage treatment
options for patients ... risk prostate cancer treated with radical prostatectomy. ...

Salvage cryosurgery for locally recurrent prostate cancer following radiotherapy -
S Ahmed, B Lindsey, J Davies - Prostate Cancer and Prostatic Diseases, 2005 - nature.com
... 6, 7. Historically, salvage prostatectomy was the main treatment option for those
patients; however, it is a technically challenging operation with considerable ...

Successful Salvage Robotic-Assisted Radical Prostatectomy After External Beam Radiotherapy Failure.
K Jamal, B Challacombe, O Elhage, R Popert, R … - Urology, 2008 - ncbi.nlm.nih.gov
... Web applications. More information here... ... 2005]; Salvage radical prostatectomy for
radiorecurrent prostate cancer: morbidity revisited. [J Urol. ...

Source: Google Scholar

Salvage Prostatectomy With Bladder Neck Closure, Continent Catheterizable Stoma And Bladder Augmentation
UroToday.com- Although there is strong evidence to suggest that salvage prostatectomy or cryotherapy may cure a subset of patients with recurrent prostate cancer after radiation therapy these aggressive therapies cause substantial morbidity. The main long-term complication is urinary incontinence which is reported to occur in 45-80% of patients. This incontinence is often severe and refractory to treatment. Previous reports on salvage prostatectomy with bladder neck closure and continent catherizable stomas were troubled with persistent urgency, low capacities, and the need for frequent catherizations. Because of this, the addition of bladder augmentation to this procedure was entertained.
A recent manuscript by E. De, O. L. Westney and colleagues from Albany Medical Center and M. D. Anderson Cancer Center in Houston reports on a series of patients with recurrent prostate cancer after radiation therapy that underwent salvage prostatectomy, bladder neck closure, bladder augmentation, and creation of catherizable stomas. The mean time to surgery after radiation was 61 months. Mean patient age at surgery was 59.5 years. The paper is published in the June 2007 issue of the Journal of Urology.

Eleven patients underwent the above procedure with either catherizable appendicovesicostomy or Monti ileovesicostomy over a 2.5 year period. Self-reported outcome measures included patient questionnaires and the validated Incontinence Symptom Index. Mean follow-up was 32 months.

Analysis of the results showed that the physician noted that 8 of the 11 patients (73%) were dry. Nine of the 11 patients returned the questionnaire. Only 2 of these (22%) reported requiring pads for incontinence. Forty-four percent reported no leakage and only 3 (33%) reported leakage more frequently than once weekly. Three of the 11 (27%) required stomal revision at an average of 24 months, of whom 2 still reported difficult catherization. The mean catherization interval was 3.75 hours versus 2 to 6 hours in the previous series without the bladder augmentation. Seven of the 9 patients (77%) reported that they would repeat the procedure again. The authors report that 10 patients who underwent an attempt and salvage prostatectomy and urethral anastomosis during this time and this group had a 50% incontinence rate and a 40% bladder neck contracture rate.
Of the 11 patients, 3 progressed to metastatic disease, one of whom died. An additional 2 patients had biochemical recurrence that was responsive to hormonal therapy. The editorial comment by Victor Netti suggested that pre-operative urodynamic studies may help determine which patients require the added step of augmentation while undergoing this aggressive surgical management for recurrent prostate cancer after radiation therapy.

De E, Pisters LL, Pettaway CA, Scott S, Westney OL

J Urol. 177(6): 2200-4, June 2007
doi:10.1016/j.juro.2007.01.151

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